Litigation examiner vs claims adjudicator

The differences between litigation examiners and claims adjudicators can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both a litigation examiner and a claims adjudicator. Additionally, a litigation examiner has an average salary of $55,295, which is higher than the $44,556 average annual salary of a claims adjudicator.

The top three skills for a litigation examiner include litigation, mediation and general liability. The most important skills for a claims adjudicator are medical terminology, CPT, and disability claims.

Litigation examiner vs claims adjudicator overview

	Litigation Examiner	Claims Adjudicator
Yearly salary	$55,295	$44,556
Hourly rate	$26.58	$21.42
Growth rate	-6%	-6%
Number of jobs	3,612	12,413
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 66%	Bachelor's Degree, 57%
Average age	44	44
Years of experience	6	6

Litigation examiner vs claims adjudicator salary

Litigation examiners and claims adjudicators have different pay scales, as shown below.

	Litigation Examiner	Claims Adjudicator
Average salary	$55,295	$44,556
Salary range	Between $37,000 And $81,000	Between $31,000 And $63,000
Highest paying City	-	Madison, WI
Highest paying state	-	New Jersey
Best paying company	-	Evolent Health
Best paying industry	-	Insurance

Differences between litigation examiner and claims adjudicator education

There are a few differences between a litigation examiner and a claims adjudicator in terms of educational background:

	Litigation Examiner	Claims Adjudicator
Most common degree	Bachelor's Degree, 66%	Bachelor's Degree, 57%
Most common major	Business	Business
Most common college	Stanford University	Stanford University

Litigation examiner vs claims adjudicator demographics

Here are the differences between litigation examiners' and claims adjudicators' demographics:

	Litigation Examiner	Claims Adjudicator
Average age	44	44
Gender ratio	Male, 53.1% Female, 46.9%	Male, 23.1% Female, 76.9%
Race ratio	Black or African American, 12.0% Unknown, 4.4% Hispanic or Latino, 16.2% Asian, 5.1% White, 61.8% American Indian and Alaska Native, 0.5%	Black or African American, 10.5% Unknown, 4.5% Hispanic or Latino, 15.3% Asian, 6.1% White, 63.0% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between litigation examiner and claims adjudicator duties and responsibilities

Litigation examiner example responsibilities.

Manage litigation costs (defense/consultants/independent investigators/experts).
Manage litigation costs (defense/consultants/independent investigators/experts).
Complete claims involving a high level of analysis, evaluation and negotiation for arbitrations submit.
Manage litigation costs (defense/consultants/independent investigators/experts).

Claims adjudicator example responsibilities.

Manage appeals and authorizations by examining information and performing necessary adjustments.
Handle claims processing utilizing knowledge of medical coding standards, including HCPCS, CPT, and ICD-9.
Calculate refunds or credit balances involving reprocessing for partial adjustments and correct the CPT and ICD-9 codes.
Maintain compliance with HIPAA guidelines and regulations
Adjudicate claims for Medicaid, Medicare, and ambulance billing.
Interpret and processes routine and complex claims per Medicaid industry standards.

Litigation examiner vs claims adjudicator skills

Common litigation examiner skills

Litigation, 26%
Mediation, 14%
General Liability, 12%
Defense Counsel, 11%
Settlement Conferences, 7%
Injury Claims, 5%

Common claims adjudicator skills

Medical Terminology, 9%
CPT, 8%
Disability Claims, 7%
Adjudicate Claims, 6%
Quality Standards, 6%
Medicaid, 5%

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Litigation Examiner vs Claims Adjudicator

Updated January 8, 2025

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